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Permit (38) CITY OF TIGARD t ' MASTER PERMIT `F COMMUNITY DEVELOPMENT a� /� Permit#: MST2016-00071 TEGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2016 Parcel: 2S109DB07100 Jurisdiction: Tigard Site address: 13111 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: 139 Project: Summit Ridge NO. 5, Lot 139 Project Description: New SF. 8/16/16, fire sprinklers added. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 195 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 919 sf Garage: 450 sf Front: 20 Smoke DwellingUnits: 1 Yes Third: 997 sf Right: 5 Detectors: Total: 2111 sf Value: $259,599.67 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2111 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 2 A geotechinical report is PORTLAND,OR 97239 required before the footing PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,275.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OU NC by calling 503.23 .1987 or 1.800.332.2344. Issued B < Y �-�6��J Permittee Signature: ,.,Q� -���lt,�JJ/ti..;—�CAS Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �T This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT , &,4 ,.,.zit) I Transmittal Letter - �:(_„A 1, t� 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov f TO: C 1' II L ,- 1-, a U(-( DATE RE �V,. 3,, DEPT: BUILDING DIVI fON AUG 0 `> — f, FROM: ( :A -re;lr`vlon..- C I 'T O, ' tr , � -ike.- n Axl 1 COMPANY: PHONE: L,�'��j,j�—���-� '4571 _ B RE: / 3 t 11 ;-51A/ it ) Lam. 115raollo —oa°7/ (Site Address) 4 (Permit Number) <7 v-I , jj ��''77 v v�,,�n.� 1" K�-1r _- . . L (Project name or subdivision n and lot numbe ATTACHED ARE THE FOLLOWING ITE,4,./.4`0 , -� _ w i3I9Ei1i'�= ' I i� A-a„ _ Its, ac� rl i .' W� 57, ,i 'tU' Additional set(s) of plans. Revisions: Cross section(s) and deta. s. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. ✓ Other(explain): c--,..,,__ Sf'r 0 t-. -pii-,,,„ REMARKS: _� rhl "r , 6 ; Mr � rv i ter Erni i Routed to Per it Techni :an: Date: Initials: Fees Due: rill 'es FA No Fee Description: Amount Due: " i m�i�il 1 p s D a � v ( u� fill $ r Tom" � `4 � 10 35- ,, 9s _ ry'4.---------- ---,;re s� '�'4r " • Special Instructions: Reprint Permit(per PE): ❑ Yes No Gone Applicant Notified: Date: gay�(o initials( �e�7 I:\Building\Forms\TransmittalLetter-Revisions_061316.doc I III CITY OF TIGARD 1 COMMUNITY DEVELOPMENT MASTER PERMIT n Permit#: MST2016-00071 Date Issued: 06/20/2016 T[G.AARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DB07100 Jurisdiction: Tigard Site address: 13111 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.5 Lot: 139 Project: Summit Ridge NO. 5, Lot 139 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 195 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 919 sf Garage: 450 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 997 sf Right: 5 Detectors: Total: 2111 sf Value: $259,599.67 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2111 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 2 A geotechinical report is PORTLAND,OR 97239 required before the footing PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,085.11 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344./3 Issued By: ��I Permittee Signature: �+' t .639.4175 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 99.0c''' c5L 1 Building Permit Application Resiiential ma OFFICE USE ONI.v r, I Cityof Ti and 1 >Received > � Date'By: 7/7 j Permit No.:" 1w)� �_ • 13125 SW Hall Blvd..Tigard,OR 97223 {{{��� Plan Review �JJ = Phone: 503.718.2439 Fax: 503.598.1960 rl 2.016 Date By: 4/�[ Other I errant: 1 Inspection Line: 503.639.4175 Date Ready By: !urns: See Page 2 for T I G A R D p t`,4A Internet: www.tigard-or.gov - "'+`"17otitied%Method: /- Supplemental Information TYPE OF WORKBU . " 1. l" REQUIRED DATA: I-AND 2-FA1171LY DWELLING Nets construction ❑ Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑ Addition/alteration'replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application Valuation:' S 12.e3-1), 240—4 Q I.and 2-family dwelling ❑Commercial/industrial �i3�� ll) .Accessory building ❑ Multi-family Number of bedrooms: 3 ❑ Master builder ElOther: Number of bathroo JOB SITE INFORMATION AND LOCATION Total number of floors` 1 i Job site address: \' l` �W k� 1.�cuae. Ness dwelling area: 2 11 1 square feet City-State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite;bldg./apt. no.: Project name:Summit Ridge Covered porch area: square feet ) Cross street directions to job site: Deck area: T� �° ! square feet 1 q�" I Other structure area: j 0 b square feet REQUIRED DATA:COMMERCI AL-USE CHECKLIST Subdivision: Lot no.: I' l Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor.overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet Ilt PROPERTY OWNER ❑ TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 _ 1 Occupancy groups: City/State/ZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax. ( ) New: 0 APPLICANT $ CONTACT PERSON BUILDING PERMIT FEES* (Please refer rojee schedule) Business name: DR Horton Inc. Structural plan review fee(or deposit): Contact name: Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: City/State/ZIP: Portland, OR 97239 Phone:(503 )222-4151 x1107 Fax: :( 1 Amount received: PHOTOVOLTAIC FEES*SOLARP E-mail: esweeks@drhorton.com ANEL S\STEM Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review S180.00 and administrative fees): Phone:(503 ) 222-4151 Fax: ( ) State surcharge(12 of permit fee): 521.60 CCB he.. 130859 i Total fee due upon application: 5201.60 Authorized signature: /] Le/t,..„,,,,,_7( `n{' l/'' ,;(...,,,,Q;:„. ,-, This permit application expires if a permit is not obtained Print vwithin ISO days after it has been accepted as complete. Print name: F me, 4 14 Wee Date:2016 *Fee methodology set by Tri-County Building Industry L '� "�-�C _ Service Board. 1"$uilding,Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(I 1/02/COM/WEB) i Ectrical Permit Application FOR OFFICE ISE ONLI City of Tigard sE� Ret:eived � DatdBv: ,,,„_ffi 13125 SW Hall Blvd.,Tigard,OR 97 NI Plan Review = Phone: 503.718.2439 Fax: 503.5 cc Date/nv: Related Permit g: Inspection Line: 503.639.4175 1 2C6 Ready Date/Ely: r,,':, ® See Page 2 for TIC'ARR Internet: www.tigard-or.gov Sotified,Meihod: Supplemental information TYPE OF WORK PLAN REVIEW .New construction ❑ Additionialterati(rt 4uplaccmcnt Please check all that apply(submit 2 sets of plant w;items checked): ❑ Demolition ❑Other: --0,all. 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 4 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agncultural amps for all other installation-. buildings. ❑ Multi-family ❑ Master builder ❑Other: ❑Fireum p p. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATiON /` ,,' 0 Emergency system larger separately derived Job g: Job site address:ilk 1 SW V `I�/.7J' 1 ' /t j/�Q 0 Addition of new motor load of system. Tigard, "IllllV JJ\l\ Vf/�1 �G I(mHP or more. ❑"A.. ..E.. ..I ,.. ..I z.. City State/ZIP: 1 igard, O R 97223 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suitebldg.lapt.#: Project name: Summit Ridge 0 Hazardous locations. 0 Supply voltage for more than 0 Sets ice or feeder 6o0 ani)„or more 600 volts nominal Cross street/directions to job site: FEE SCHEDULE Description 1 (,is. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: Lot it: (3g Includes attached garage. Tax ma p/p:level 1,000 sq.II.or less t 168,54 4 Ea add'I 500 sq ft or portion 33.02 1 DESCRIPTION OF WORK Limited energy,residential New SFR (with above sq.fl.) 1 75.00 Limited energy.multi-family' 75.00 residential(with above sq.ft.) - Renewable Energy 0 See Page 2 a PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: DR Horton Inc. 200 amps or las 1. 100.70 Address: 201 amps to 400 amps 133.56 4380 SW Macadam Ave Suite 100 401 amps to 600 amps 200.34 City/State/ZtP: Portland. OR 97239 601 amps to 1,000 amps 301.04 Phone:(503 )222-4151 Fax:( ) Over 1,000 amps or volts 552.26 2 'temporary services or feeders installation,alteration,and/or Entail: esweeks@drhorton.com relocation Owner installation: This installation is being made on property that I own which is not 2(x)amps or less 59.36 1 intended for sale,lease,rent,or exchange.according to ORS 447.449.670,and 701. 201 amps to 400 amps 125.08 - Owner signature: _ Date: 401 amps to 599 amps 168.54 2 Branch circuits—new.alteration,or extension,per panel 0 APPLICANT it CONTACT PERSON A.Fee for branch circuits with Business name: DR Horton Inc. above service or feeder fee, each branch circuit 7'42 - Contact name: Emerald Weeks B.Fee for branch circuits without service or feeder tee,first Address: 4380 SW Macadam Ave Suite 100 brunch circuit 56.18 - CityiStateIZlP:Portland, OR 97239 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503 )222- 4151 x1107 Fax: :( 1 Each manufactured or modular 67.84 Email:esweeks@drhorton.com dwelling,service andtor feeder - Reconnectt only- 67.84 _ CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Wright 1 Electric Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited energy 1:1 See Page 2 ' 11490 SE Jennifer St. panel,alteration.orextension. - Cit'StalctZlP: Each additional inspection over allowable in any of the above y Clackamas, OR 97015 Additional inspection(1 hr min) 66.25/hr Phone:(503 760-8522 Fax: I 1to,- le(�J tmestigation(I hr min) 90.001hr Industrial plant(1 hr min) 78.18/hr Email: rlane@wrightlelectri.com lelectri.com �' Inspections for which no fee is 90.00'hr CCB Lic.:162368 Electrical Lic.:3-332C Suprv. Lie.:3 ,5 specifically listed(`:hr min) f ELECTRICAL PERMIT FEES Suprv.Electrician signature.required: 7„,f)ZL' • Subtotal: U ��?L-YFt•�i , Print name: J etS I ,3 r t jE A- Date: 2016 0 flan Review Required(25%of permit fix:): I.JV Cox-�.- State surcharge(12%of permit fee): Authorised sign are: 101 Al.PERMIT FEE: — This permit application expires if a permit is not obtained within 180 Print name: -,,,�---"`''' Date: 2016days after it has been accepted as complete. • Number of inspections allowed per permit. I.Building Permits ELC_Pcrmit.4pp_ELR_ERE doe Ro'06 I'2015 3311-3615111 105 COM WEB Mechanical Permit Application FOR OFFICE INF.ONLY City of Tigard -.00\1� Received � Datc/B 1114 • 13125 SW Hall Blvd.,Tigard,OR 9722 r� ell Plan Review Phone: 503.718.2439 Fax: 503.598.1960AA� (�1 Date/By: Other Permit: T 1 6 A R D Inspection Line: 503.639.4175 V1\NR I Date Ready/Hy. lune Iii See Page 2 for Internet: www.tigard-or.govi.Gr Notified/Method Supplemental Information 1 ti ,r TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work 4 New construction ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 4 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: / Air conditioning 46.75 Job site address: �"t,\\ G V _ 3 ✓"p"� e Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Com" ' Furnace 100,0001 BTU(ducts/vents) 54.91 g Heat pump 61.06 Suite/bldg./apt.no.: Project name: Summit Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electnc), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 �"- c Subdivision: Lot no.: yam ` Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 tit PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: DR Horton Inc. Range hood/other kitchen equipment 33.39 Address:4380 SW Macadam Ave Suite 100 Clothes dryer exhaust 33.39 City/State/ZIP:Portland, OR 97239 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503 ) 222-4151 Fax:( ) Attic/crawlspace fans - 23.32 ❑ APPLICANT ill CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. $14.15 for first four:$4.03 for each additional Contact name: Emerald Weeks Furnace,etc. Address: 4380 SW Macadam Ave Suite 100 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Portland, OR 97239 Water heater Phone:(503 ) 222- 4151 x1107 Fax: :( ) Fireplace Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: b 13o X 0 2_ Subtotal City/State/ZIP: A 10A-, O /'. c" Z ) Minimum permit fee($90.00) t Plan review(25%of permit fee) Phone:(5 4i 1 ) 4 Z(t,' 13 -7 Fax:(i) ) 5 2,G-- 7 2, 7 State surcharge(12%of permit fee) lie.. .-.C1 S ,Y Cc i5 TOTAL PERMIT FEE ` This permit application expires if a permit is not obtained within 1811 days after it has been accepted as complete. Authorized signature: 01 E7r ' Fee methodology set by Tri-County Building Industry Service Board Print name: j acs 5 )3t',-f""Ntt' IP Date: I?BuiWmg\Pcrnvie MEC Pcrmn App_040 113duc 440-t617r(1 I/02/COM/WEB) 1 YD6 Plumbing Permit ApplicaCaECEIVED Building Fixtures MAR 2 9 2016 Cityof Tigard Received -21e7�7 J a 131SW Hall Blvd.,Tigard,©J 30F TIGAAD Plaa/BY: 3/3/ / Permit No. S� �� Plan Review Phone: 503.718.2439 Fax: nG V N Date/By: Other Permit No.: Inspection Line: 503.639.4177� � "'`^ OIt����'V . .�.! I, Date Rcadyliy: mriv I la See Page 2 for Internet: www.tigard-or.gov Notificd/Method: Supplemental Iofurmatlon ' TYPE OF WORK FEE* SCHEDULE El New construction 1:1 Demolition For special iajonnodon use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New l-2-family dwellings(includes 100 ft.for each utility connection) • CATEGORY OF CONSTRUCTION ' • SFR(1)bath 31/70 ❑ 1-and 2-famil dwelliSFR(2)bath 437.78 y n g ❑Commercial/industrial SFR(3)bath ' 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 Master builds ❑Other: Fire sprinkler( ?_)j sq.R.) / Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 15l (I ›',/ 4o 4e/ j C,a Catch basin or area drain 18 76 ( /� 7 V Drywell,leach line,or trench drain 18.76 City/State/ZIP: (-fin fl R l iz 1 Footing drain(no linear fl.: ) Page 2 Suite/bldg./apt.no.: I Project name: Summit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: .73 / Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 NSFR Drinking fountain 25.02 Ejectois/sump 25.02 ❑ PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker ,2 1..51 a APPLICANT 0 CONTACT PERSON interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:$ ) Page 2 Contact name: Emerald Weeks Primer 12.51 Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sink/basin lavatory 25.02 City/State/ZIP: Portland, OR 97239 Solar units(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater Business name. //' 7 _ 37.52 61 -•f tk� u-tani9lt,.1 1-V1 C Water piping/DWV 56.29 l-rQ.p v Address: Nel 35 S• .-1Y---,.(? J' 1tr-- other: 25.02 City/State/ZIP: ofe10- 4-Li4DO- q-7O- s- Subtotal Phone:(5 Ds) LAei D__C-1 3 Fax:(COI ) 2! o-3t2,0(a Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: (9t-{505- c Plumbing Lic.no.: Fe(D(o5 r State surcharge T(12%L E permit fee) Authorized signattrre: `\rl -`� (�,�11/` TOTAL PERMIT FEE Print name: � {n �t LAY-- Q Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Hoard. I: uildiug P rmiu5PLMU-PtrtnitApp.dm: 10/01/W 445-4616T(10102./COMAVf13) City of Tigard 71COMMUNITY DEVELOPMENT DEPARTMENT i el ■ T I G A R D Building Permit Review — Residential Building Permit #: -V.49/(p-ax5'71 Site Address: IBI 11 (Sl ,. Vils4e I Ln - Project Name: g Urn wt.; f-- p of le- No , 5 Lot #: 13 el (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1J e 0 SF L Air Verify site address/suite#exists and active in permit system. ❑ River Terrace Neighborhood: A No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: .Three(3)copies of site plan sting structures on site ®Site plan must be( on 8-1/2"x 11"or 11 xi 17"paper . Footprint of new structure(including decks)with finished fL�Drawn to scale(standard architect or engineer scale) floor elevations $North arrow Viitility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number ,J2rocation of wells/septic systems jApplicant information(name and phone number) 1]Erosion control(including drainage-way protection,silt fence ,OLot dimensions and building setback dimensions design,location of catch basin,etc.) J .Lot area,building coverage area,percentage of coverage and XStreet names impervious area(applicable if R-7,R-12,R-25&R-40) giStreet tree size,type and location X'roperty corner elevations(2 foot contour lines if more than )Xxisting trees to be retained with drip line,and tree 4 foot differential) protection measures k Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified N No Received: ❑ Yes ii No APublic Facilities Improvement(PF1)Permit: Required: 0 Yes,applicant was notified ❑ No Applied For: 56 Yes E No,stop intake X] Land Use Case#: S1.1BLao 15- 00007 t Si-R au 15 -- b ' o64 Zoning: R- 7 Setbacks: Front 1 Rear (5 Side 5 Street Side / (.,; Garage K.Landscape Requirement: C, .E Lot Coverage Maximum: b.A cyo A" Building Height: Maximum Height 35 Actual Height 3. - , 1 Visual Clearance Xr Easements Sensitive Lands: 0 Yes Ife"No 1'v pe Urban Forestry Plan ,Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Ci0fiA,,A.2Date: 3 -/- I (p Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1::\Building\Forms\BldgPermitRvw_RES_012116.docx 7 Building Permit Submittal Original Submittal Date: jhl& Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: arming g--Engrneering L9--I'ermit Coordinator f"'Btii1 ing Workflow Sign-off: [-Sig`n-off for Planning(include notes from planning review) Route Application Documents: LlL ngmeering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [ — i1 : original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ��....c--,.....c—dr- Date: ?/jj'�6 Engi eering Review Yom' P t building pad: /A ditions"Met"prior to issuance of building permit ements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ o Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: Ill Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: dz... ..:p __ Date: ,—?--/Z, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SSDC Fees Entered: Wash Co Trans Dev Tax: Si es 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: ,Yes ❑ N/A ;i2e)OK to Issue Permit Approved by Permit Coordinator: //fil-----Date: 3i1//4 I:\Building\Forms\BldgPermitRvw_RES_0121 1 6.docx RECEIVED Mechanical Permit Application ('it' of"I i andz • fee , '•r.,• /i /c,-#ao• ZI 1:1:4 tiW Hall Khd Iiyard_i94 9 SEP 21 2016 4;:4''4.4.'' �3 i I'iroac itlt.-I1!;iv Ie. yl:;cyr[lr��h#`i,�J(� TIG li.,. f•, r.., if,.pc.ttci I inc 500'14 i-• C1 1 1 V IGARD 11.u,R..,:. r B 4r Pact:h., hnc•rl. N'd irj`«t.i,•:I!- h i••Y.-•i1;31-r }- %uppiriI,ni.'I,.f.N ma11n1, __ BUILDING DIVISION_ ----•-------' - . - ` �_ _ __ TYPE.OF WORK _ -__. COMMERCIAL FEE*SCIIQDi9.f.- i16F Clt£CKI.1�I 1J Y1c,h:,ni::al pc•uut ic..•ate ht,ad 1!I dk•..hn of Ilk':,,I. NM\cw:rmtst:,.Ii.nt ❑Addtll.,n,1I'e1*Shin repl.l ritt,•+il ' f.'•rI.' d.Ind',at.:the...Al.,nr,r,,bJ,-.!lath, nygtr,:J•'i.,:, . J 1)etln,lt,gt ❑I)ihct. n,c_1.1ai...1.1,44.11..1, ,:a.ep.,wi I.,14_. r=•,c.2,I...l..?; - - l.,lu, ST — CATEGORY OF CONS1RICFION _ ( RESlGEN?t_AL_LQVIPME?Tt&YS7f.!►SSFf:[s• y 146 I•dtxl�•Ietrol),hldihltg ❑( ,,'littlyi',IJi InJ,,,tt,.,t 0.a„,-,I,t>him, �.—J i...v.,ial information mei nr•r Alm -- _ ❑'vlalll-1411111% ❑".1.:,1,-1,1,11_- [1.l itil.: r lk,.tlf.o.,,, 1 t+, _ I.: I 1 --- Heating cuollq SAB SITE INIORMA1 a " AND LOCATION H •x,l: a,fhc,• 1/ l,r +i t n, Itvth, lf it t r t ;I' II.tl,ill'_.i ig rd,OR 9 223 �unw c II,t(kW,'If i 1 1 14...i,0,2 S'./11.'rt.!: apt m, i Pn,Ic,f n.,na: Summit RId.0 t,,t•,r _—.-... -.. 1 1 tiro, ll.d;'v,•, 1,-•1 w.,• .,, • ; .— ----—--- -- --._—_ — — —---• i.P;,Id,^drat b,•o.^n.,•h•r,v i kdnatl,l __ _._. ..__ .�..._ ___._..___...__.__-. _—.--.-. - - . 1 „n bedtet•il.Ic!r itK.no rl,y•:-:.71 I I _..f 11•N.IG tmdr,.t .,.t.•,.ti>,le.t ..1, 11. tiuc lent s.•r::m,�r .a•.... _ (tt--- i — - 4 Other tad appliance*: .It mar p.h.S nu H oto l.can:r '� ••_r_.-_ _._.. DESCRIPTION OF WORK i i 1,d•iitt.tmt;:Im•I: : t•r I 11118,e r I'M- ..one-1,• 'cf 1,r a.•• � I I.s_tihtcr,,.., i t-- --`----_._y `l,,xal!•r..lk! I , 1..1 i OA C II. ei ' l hilniu, lirk-r 1111.%,--DI 1..1. , L. _ _.- -- Iat<t [ i*PROPERTY OWNER �� ©rfsnll►rti�l __ ______- t..._ Emirnnmrnai rational and ventilation: 1 ."In' DR Horton Inc. J r.,ng,-ht.ad,xhrr I neben I ' -(Idt,'.4;80 SSW Macadam Ave Suite 1011 q is ars,•,e.�•..ua __ i a t I (Ih �lek'111' linSF t lhstt:r...m. t Portland,()R 9;239 l t ___ ._ �in ict c,m ver intro i tt!>it r,,,.ln I h..n: 1 5(13 122}-4151 Tf . , I. -, I L, -- - - ❑ APPLICANT a l'oNTAcT PEasoN I t:!"-, ? , – — r -; t ud r_ir� :_ i ifuafl, 'Nnk 1)R Horton Inc. .. . -_ .-.._ _.. S14 14 for first hour-S4 nt for rack addilh.nal (t4114,t 1:411k Emerald 1Vecks tnm.,,c ct• ' 1 111t1rc-•, .1380 SW Macadam AYe Suitt' 100 1.',..-,411',:..1!,'' .--_. . . --- -__. 1 • ( II `•14It!IPPortland.OR 9723') N - - -__ ' • 1 11-•,,t: i501 '22-41:] x1 111' � I.', , . I In4t' esweeks(pdrhorton.com 1. CONTRACTOR _ • - • i H.,•o:••.ta,n- -11 t. �' i. 1 •n t• _--_-__ -. _ . . _ -- _- i HEN* l.tdt.-• ., / / ,, '_• LL1 Illy J. ♦ubinui _ (it. �'..r: 1f1 p't' t -r 7 t -‘10,11,4,,,,,p,-,71.,,icy 1t,l,t,I t élf hI i, r4./ _....1*• I at -4 r }.f.,. ' 1t 1. _ ----- ♦i,te•.44;tarp:11= I p. n,a 4," I„ _. .. I t l t t( ..1,-,t.i- .---_ �.�� —— Tai.I.PFRSIIT 1'Ef i 7 hi.permit rpplaauur,. p,re.11 a permit I.nod ohlnmd..Hhln I>1I1 don aft,,it ha.he.,.*1..4111 d a•,onlplru doll',*t/cd,iestilme / • .I a„ ! .n s a:, (: r , .i P.re:'r,:.w. ---'--” t/di:._ i'`..-- FOR OFFICE USE ONLY—SITE ADDRESS: /g/// SmI / f 77;7 L This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 1 c„�k ll 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED DEC i 2016 FROM: YI�.�il 4 td CIT\, OFf.,A [)R� COMPANY: DtivAltrAlLam( BOLDING DMS ON! PHONE: 5 b 9.34 -�..�t By: 4 RE: ► 1 rtG 51-2-Mo - OD0-j ( ress (Permit Number) /3/// Stfd / 7 — (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: I Copie : Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): keiç-h4 REMARKS: & 4-C d/ icto uti ci FOR OFFICE USE ONLY Routed to Permit Technician: Date: j )-.g j ( Initials: Fees Du'eljaYes ❑No Fee Description: Amount Due: 1,2., Jar p1 W. fav► cam- $►�} $ $ $ Special Instructions: Reprint Permit(per PE): [ Yes o 0 Done Applicant Notified: �fiR9-t Date: C.'ritIii 4.— 12 V/6, Initials; I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13111 SW KOSTEL LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00071 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor